NESEMIO SANTIAGO (D.C.) – Chiropractor, NPI 1174672109

NESEMIO SANTIAGO (D.C.) is a healthcare provider. based in Lawrenceville, Georgia. specializing in CHIROPRACTIC. They hold the professional credentials D.C.. They hold a License No. CHIR007788 (GA). The NPI Number for NESEMIO SANTIAGO (D.C.) is 1174672109

Main info

Male
Sole Proprietor
1 Year Of Experience
Accepts Medicare Assignment
Name
NESEMIO SANTIAGO (D.C.)
NPI
1174672109
Phone
(770) 921-1498
Address
544 RIVULETT CT
Enumeration Date
9 January 2007
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2146007802
Graduation Year
2025 (1 year ago)
PAC ID
1153851530
Professional Enrollment ID
I20250214001073
Address ID
TX782492269SA5886XRDXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,115 CHIROPRACTIC in GA

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Provider Addresses for NESEMIO SANTIAGO (D.C.)

  • 544 RIVULETT CT

    LAWRENCEVILLE, GA 300435487

    Phone: (770) 921-1498

    Fax: (770) 921-6702

    Type: Mailing

  • Indian Trail Lilburn Road Northwest, Lilburn, Gwinnett County, Georgia, 30047, United States

    LILBURN, GA 300476844

    Phone: (770) 921-1498

    Fax: (770) 921-6702

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-02-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250214001073IChiropracticTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30043)

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Reviews

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Frequently asked questions

Can I use this page to confirm NESEMIO SANTIAGO (D.C.)'s NPI?
Yes. NESEMIO SANTIAGO (D.C.) is listed with NPI 1174672109 in the public NPI dataset.
Can I rely on NESEMIO SANTIAGO (D.C.) being an active provider?
As of the registry snapshot, NESEMIO SANTIAGO (D.C.) is marked active.
What taxonomy line describes NESEMIO SANTIAGO (D.C.)?
For research purposes, treat NESEMIO SANTIAGO (D.C.) as Chiropractor in this dataset. Clinical services aligned with this taxonomy classification.
Where is NESEMIO SANTIAGO (D.C.) based?
NESEMIO SANTIAGO (D.C.) is tied to Lawrenceville, Georgia in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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